Dr Mallory Mathis, OD in Waverly, TN - Medicare Optometrist Provider

Dr Mallory Mathis, OD is a medicare enrolled "Optometrist" provider in Waverly, Tennessee. Her current practice location is 215 Holly Ln, Waverly, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 296-1990.

Dr Mallory Mathis is licensed to practice in Tennessee (license number 3824) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134805633.

Contact Information

	Dr Mallory Mathis, OD
	215 Holly Ln, Waverly, TN 37185-3387
	(931) 296-1990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mallory Mathis
Gender	Female
Speciality	Optometrist
Location	215 Holly Ln, Waverly, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134805633
Provider Enumeration Date: 06/27/2023
Last Update Date: 07/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2567825367
Enrollment ID: I20230828000157

Medical Identifiers

Medical identifiers for Dr Mallory Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134805633	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3824 (Tennessee)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mallory Mathis allows following entities to bill medicare on her behalf.

Provider Name	Hermitage Eye Care, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275943052 PECOS PAC ID: 0446576359 Enrollment ID: O20150311000798

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mallory Mathis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mallory Mathis, OD 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818	Dr Mallory Mathis, OD 215 Holly Ln, Waverly, TN 37185-3387 Ph: (931) 296-1990

Reviews and Comments

Optometrist in Waverly, TN

Dr. James H King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 W Main St, Waverly, TN 37185 Phone: 931-296-2747 Fax: 931-296-2749
Eyes On Diabetes Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Holly Ln, #a, Waverly, TN 37185 Phone: 931-296-1990 Fax: 931-296-1889
River Valley Eye Clinic P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Holly Ln, Waverly, TN 37185 Phone: 931-296-1990 Fax: 931-296-1899
Dr. Tonya Michelle Reynoldson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 215 Holly Ln, River Valley Eye Clinic P.c, Waverly, TN 37185 Phone: 931-296-1990 Fax: 931-296-1899

Dr Mallory Mathis, OD - Medicare Optometrist in Waverly, TN